CLAUDIA BIANCHI ZAMATARO
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Resumo IPEN-doc 28438 SEM/EDS for determining the phosphorus and calcium content in human dentin submitted to radiotherapy for head and neck cancer2020 - SCAPIN, MARCOS A.; MOREIRA JUNIOR, CLAUDIO; ZAMATARO, CLAUDIA B.; GONCALVES, SERGIO E. de P.; ZEZELL, DENISE M.The research followed the CONSORT 2010 guidelines. Patients who underwent radiotherapy due to the head and neck cancer (n = 12) and healthy patients (n = 12) donated the teeth. Twenty-four urgently extracted teeth for periodontal reasons or in order to prevent infectious processes were used. All teeth obtained had the approval from the ICT - UNESP Human Experiments Ethics Committee. The teeth obtained were separated into two large groups: Control (n = 12 dentin teeth of healthy patients) and Irradiated (n = 12 dentin teeth of patients irradiated in vivo) and sectioned in their long axes, obtaining two halves (n = 24 per group). The samples were analyzed by Scanning Electron Microscopy with Energy Dispersive (SEM/EDS) and Surface Microhardness (SMH). The results obtained by SEM/EDS and X-Ray Fluorescence techniques were analyzed separately and then compared to each other. To validate the analytical method of the correlation between the two types of tests performed, the Horwitz equation was used, which would generate a Horwitz value and establishes for either method. Precision for repeatability was assessed using the relative percentage standard deviation (RDS%) and the acceptability criterion by the Horwitz test. Accuracy was assessed by relative percentage error (ER%) and acceptance criterion by z-score. The precision for repeatability was evaluated through the relative standard deviation (RSD%) and the acceptability was verified using the equation of Horwitz, in which the HORRAT’s (HOR) values fit more accordingly.Artigo IPEN-doc 28103 Evaluation of the anti-caries effect beyond the critical enamel pH of preventive treatment of fluoride associated with Nd:YAG laser irradiation2021 - JUVINO, AMANDA C.; ROMANO, MARIANA; ALVES, NATHALIA Z.; FREITAS, THAIS R.; ZAMATARO, CLAUDIA B.; ZEZELL, DENISE M.This study aimed to evaluate the anti-caries effect of fluoride associated with Nd:YAG laser irradiation in the h-eatment of enamel Eight groups (n = S) were analyzed: Negative Control pH 4.5; Negative control pH 4; Fluoride pH 4.5; Fluoride pH 4; Nd-YAG pH 4.5; Nd-YAG pH 4; (Fluoride + Nd-YAG) pH 4.5 and (Fluoride + Nd-YAG) pH 4. All samples were analyzed by Scanning Electron Microscopy (SEM) before and after the cycle. Quantification of phosphorus in the cycling solutions was carried out using the colorimetric method, as an indication of enamel demineralization. The anti-caries effect of the Fluoride + Nd: YAG treatment in addition to the critical pH of the enamel can be observed in the morphological analysis, however in the analysis of the demineralization solutions, the amount of phosphorus showed a difference only in the Fluoiide group compared to the others in the investigative pH.Artigo IPEN-doc 27710 Morphological, optical, and elemental analysis of dental enamel after debonding laminate veneer with Er,Cr:YSGG laser2021 - ZANINI, NATHALIA A.; RABELO, THAIS F.; ZAMATARO, CLAUDIA B.; CARAMEL-JUVINO, AMANDA; ANA, PATRICIA A.; ZEZELL, DENISE M.Laminate veneer removal is becoming a routine procedure at the dental clinic and the use of laser can facilitate its removal. This work aimed to evaluate the morphological, elemental, and optical changes in the remaining enamel after veneer removal using Er,Cr:YSGG laser. Forty‐four enamel slabs were prepared and randomly distributed into nine experimental groups, for bonding using lithium disilicate laminates with three different luting agents (Variolink Veneer, RelyX U200, and RelyX Veneer). Then each agent was debonded using Er,Cr:YSGG laser (2.78 μm) using two different protocols:3.5 W, 48.14 J/cm2, 20 Hz non‐contact and 3.0 W, 48.14 J/cm2, 20 Hz non‐contact. The morphological, optical, and elemental analysis of enamel was performed before cementation and after laser debonding, using scanning electron microscopy (SEM), optical coherence tomography (OCT), and energy‐dispersive X‐ray spectroscopy (EDS). The level of statistical significance adopted was 5%. The EDS analysis of enamel after debonding revealed a significant increase in silane and carbon, as well as a decrease in calcium and phosphate contents. Analysis showed the presence of residual cement in most experimental groups but the morphological analysis showed alteration of the enamel's prisms only in the groups that used RelyX Veneer and Variolink Veneer cements. There was no evidence of deleterious morphological changes resulting from irradiation. However, an increase in the optical attenuation coefficient by the OCT was observed due to the presence of the remaining cement. It can be concluded that the Er,Cr:YSGG laser, in the mean powers used, is efficient for veneer removal without causing deleterious effects for the enamel.Resumo IPEN-doc 27313 Avaliação in vitro do teor de cálcio e fósforo em dentina humana submetida a radiação ionizante in vivo2020 - JUNIOR, CLAUDIO M.; ZAMATARO, CLAUDIA B.; CARVALHO, VICTORIA G.; SILVA, MATEUS R.; ZEZELL, DENISE M.; SCAPIN, MARCOS A.; GONÇALVES, SERGIO E.P.INTRODUÇÃO: Câncer de cabeça e pescoço é um problema de saúde pública. A radioterapia é uma opção de tratamento, capaz de promover maior preservação de tecidos e estruturas adjacentes. Entretanto, comorbidades ocorrem, causando alterações em tecidos da cavidade oral. O entendimento da etiologia das cáries de radiação ainda é um tema complexo no atendimento destes pacientes. OBJETIVO: Realizar a validação de uma metodologia de análise quantitativa in vitro de Fósforo (P) e Cálcio (Ca) na dentina humana submetida a radioterapia. METODOLOGIA: Após aprovação do Comitê de Ética em Pesquisa (parecer 3.842.547) foram utilizados 12 dentes extraídos oriundos de pacientes submetidos a radioterapia (~0,07 kGy) por câncer de cabeça e pescoço. As amostras de dentina foram preparadas e analisadas por meio de Microscopia Eletrônica de Varredura com Energia Dispersiva de Raios X (MEV/EDS). RESULTADOS: A metodologia proposta teve seus resultados comparados aos resultados obtidos pela espectroscopia de Fluorescência de Raios X e validada em termos de precisão e exatidão por meio de testes estatísticos sugeridos pelo documento DOQ-CGCRE-008 do INMETRO e teste Z-score. A precisão, em termos do desvio padrão relativo (RSD%) acessado de P e Ca, foi de 2,6 e 3,2%, respectivamente. A aceitabilidade calculada pelo teste de HORRAT (𝐻𝑂𝑅) mostrou que ambos valores são ≤ 2 (1,3 e 1,6 para P e CA, respectivamente), indicando que a precisão é satisfatória. A exatidão acessada de P e Ca, em termos de erro relativo (ER%), foi de 2,6 e 1,8%, respectivamente. A aceitabilidade, calculada pelo teste Z-score (score-score), apresentou valores entre 1,0 e 0,5 para P e CA, respectivamente, com a exatidão também considerada satisfatória. CONCLUSÃO: Conclui-se ser possível quantificar in vitro o Fósforo e o Cálcio na dentina humana por MEV/EDS, com parâmetros de precisão e exatidão satisfatórias para a técnica.